psychopathology disorder chart

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Disorder ADHD PTSD Conduct Disorder ODD Crux Inattention (6) Hyperactive (6) 6 months <12 y.o. A Exposure B Intrusive memory C Avoidant/*numb* D Bad mood E hyper arousal Violates basic rights of others Social norms violated Angry Argumentative Vindictive Criteria A –Inattention (6 of – 5 for adult) a-careless mistakes b-difficulty keeping attention c-doesn’t listen d-doesn’t follow through e-difficulty organizing tasks/activities f-avoids sustained mental effort g-loses important things h-distracted by extraneous stimuli i-forgetful And/or -Hyperactivity (6 of)- a-fidget b-leaves seat c-runs or climbs d-can’t play quietly e-“on the go” f-talks excessively g-blurts out answers h-trouble waiting for turn i-interrupts others Exposure through: -Experiencing -Witnessing -Close family -Repeated first-hand exposure -Intrusive, distressing memories -Bad dreams -Dissociation (re- experiencing) -Distress at cues -Physiological reaction -Avoid associated stimuli -Bad mood -Can’t remember -“World sucks” -Self blame -Detached -No + feelings -Irritable -Self-destructive -Startled easy -Diff. concentrate -No sleep 3 of 15 in 12 mo. Bullies Fights Weapon Cruel to people Cruel to animals Steals while confronting Forced sex Sets fires Destroyed property Break-in Lies Steals $ things Stays out (before 13) Runs away Truant (<13 yo) loses temper Easily Annoyed Angry/Resentful Argues Defies authority Annoys others Blames others Vindictive (>2 in 6 months) Mnemonic: Vindictive BLADE (2 A’s) Time 6 months 1 month 6 months >1/week >6monts Risk Factors Genetics, DA, NE, GABA, 5HT Small Brain/prenatal smoke Female Trauma intensity Male, low ses, deviant- drug-addict friends, Low IQ, Domestic violence Parent addict/criminal Addict deviant friends Prenatal smoking, low IQ Treatment CBT, exposure, imaginal Behavior Ther. Psychotherapy Meds - Pray Therapy, meds Specifiers/(Notes) Combined presentation Predominantly inattentive Predominantly hyperactive In partial remission? Mild/Moderate/severe Depersonalization Derealization And/or Delayed expression Childhood onset Adolescent onset Unspecified onset Limited prosocial? (no guilt, no empathy, no performance concern, shallow affect) Mild/moderate/severe Mild Moderate Severe (Comorbid with ADHD) Changes from DSM 4 Neurodevelopmental/ disruptive, impulse- control and conduct disorders Formerly child onset Prevalence 3-7% school age 5% worldwide From anxiety dis. to “trauma and stressor ~6% 7%

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A rapid reference about psychological disorders

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Page 1: Psychopathology Disorder Chart

Disorder ADHD PTSD Conduct Disorder ODDCrux Inattention (6)

Hyperactive (6)6 months<12 y.o.

A ExposureB Intrusive memoryC Avoidant/*numb*D Bad moodE hyper arousal

Violates basic rights of othersSocial norms violated

AngryArgumentativeVindictive

Criteria A –Inattention (6 of – 5 for adult)a-careless mistakesb-difficulty keeping attentionc-doesn’t listend-doesn’t follow throughe-difficulty organizing tasks/activitiesf-avoids sustained mental effortg-loses important thingsh-distracted by extraneous stimulii-forgetful

And/or-Hyperactivity (6 of)-

a-fidgetb-leaves seatc-runs or climbsd-can’t play quietlye-“on the go”f-talks excessivelyg-blurts out answersh-trouble waiting for turni-interrupts others

Exposure through:-Experiencing-Witnessing-Close family-Repeated first-hand exposure

-Intrusive, distressing memories-Bad dreams-Dissociation (re-experiencing)-Distress at cues-Physiological reaction-Avoid associated stimuli-Bad mood-Can’t remember-“World sucks”-Self blame-Detached-No + feelings-Irritable-Self-destructive-Startled easy-Diff. concentrate-No sleep

3 of 15 in 12 mo.

BulliesFightsWeaponCruel to peopleCruel to animalsSteals while confrontingForced sexSets firesDestroyed propertyBreak-inLiesSteals $ thingsStays out (before 13)Runs awayTruant (<13 yo)

loses temperEasily AnnoyedAngry/Resentful

ArguesDefies authorityAnnoys othersBlames others

Vindictive (>2 in 6 months)

Mnemonic:

Vindictive BLADE (2 A’s)

Time 6 months 1 month 6 months >1/week >6monts

Risk Factors Genetics, DA, NE, GABA, 5HTSmall Brain/prenatal smoke

FemaleTrauma intensity

Male, low ses, deviant-drug-addict friends, Low IQ, Domestic violence

Parent addict/criminalAddict deviant friendsPrenatal smoking, low IQ

Treatment CBT, exposure, imaginal Behavior Ther.PsychotherapyMeds - Pray

Therapy, meds

Specifiers/(Notes) Combined presentationPredominantly inattentivePredominantly hyperactive In partial remission?Mild/Moderate/severe

DepersonalizationDerealization

And/orDelayed expression

Childhood onsetAdolescent onsetUnspecified onsetLimited prosocial?(no guilt, no empathy, no performance concern, shallow affect)Mild/moderate/severe

MildModerateSevere(Comorbid with ADHD)

Changes from DSM 4 Neurodevelopmental/disruptive, impulse-control and conduct disordersFormerly child onset

Prevalence 3-7% school age5% worldwideOnset age 3 or 4Boys:Girls 3:1

From anxiety dis. to “trauma and stressor related”

~6% 7%

Course and outcomes Before age 12In 2 or more settings

Starts adolescence – persists lifeBecome Antisocial PD?

Starts preschoolODD before CD

Page 2: Psychopathology Disorder Chart

Disorder

Crux

Criteria

Time

Risk factors

Treatment

Specifiers/(Notes)

Changes from DSM 4

Prevalence

Course and outcomes